In this Substack Live, David speaks with Dr. Zachary Rubin about the Trump administration’s vague and failing health care promises, including the new idea of giving individuals cash to buy their own insurance. Dr. Rubin explains why that approach would collapse the system that the ACA helped stabilize and how Trump’s earlier cuts already sabotaged affordability. The two also touch on the broader damage to public health and medical research from years of politicization and funding cuts, and why meaningful reform now depends on rebuilding trust and moving toward a universal, affordable model of care.
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